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South Dakota rates for HCPCS Q5116

Injection, trastuzumab-qyyp, biosimilar, (Trazimera), 10 mg

Facilitymedian $29 · 10th–90th $8–$4,6770%10%20%10th90th$29Professionalmedian $8 · 10th–90th $8–$230%50%90th$8$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $4,677.35 / $4,677.35
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $13.18
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $25.70 / $26.30
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $10.47 / $10.47
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $40.74 / $77.62
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $31.62 / $109.65
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $30.20 / $34.67
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $3.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $9.12 / $25.12
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $28.18
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $28.18